This position is responsible for all duties involved with the follow-up and prompt collections of medical claims. All outstanding claims must be resolved in a timely manner. Responsible for contacting patients and/or insurance companies to resolve account balances. Review remittance reports for denials, errors and resubmits claims with correct data. Submit claims and/or appeals requests to insurance carriers for payment and adjustments. Monitor accounts for reversal of payments, must understand and complete all Credit Balance Reporting when directed. Respond to patient questions, problems or complaints in a courteous and professional manner.

QUALIFICATIONS:

• High School graduate with five years job related experience in physician/hospital Business Office or Clinical Business Office.
• Additional qualification includes Microsoft Office.
• Knowledge of CPT, HCPCS and ICD-10 coding procedures.
• Working Experience with medical terminology.
• Detailed oriented.
• Great communications skills, both written and oral.
• Ability to have comprehensive Computer skills.
• In-depth working knowledge of Government and Managed Care insurance carriers preferred.
• Must have problem solving and troubleshooting skills.
• Working experience with data spreadsheets
  Compensation : Experience and education may be considered along with internal equity when job offers are extended .
  Location : 1101 Samuel Wells Complex, Suite 1102, Jacksonville, FL 32216
  Hours: Monday - Friday, 40 hours per week

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:

• Competitive Pay
• Comprehensive Benefits package
• Vacation/Paid Time Off
• Retirement Plan with Match
• Employee Discounts
• Clinical Education and Professional Development Programs

• Follows up on outstanding claims.
• Works all denials manually and/or electronically by using the designated systems on a timely basis, report problems to Supervisor/Manager.
• Documents all accounts clearly and concisely of all activity and resolve all accounts through final collections, initiates appropriate collection letters on patient liability.
• Request medical record documentation as required to resolve the account.
• Performs daily account follow-up using the worklist in Patient Account system.
• Mails or submits claims electronically.
• Verify payment schedules for correct allowances and account numbers
• Accumulates, prepares, and analyzes data necessary for contract compliance of HMO and PPO plans.
• Correct bad addresses as necessary.
• Strive for optimal collections pertaining to account receivables less than 90 days.
• Adheres to all Brooks Rehabilitation policies and procedures.